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Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1

Simon Read, John G Lawrenson, Robert A Harper, Thomas Hanley, Konstantinos Balaskas, Heather Waterman

Ophthalmic and Physiological Optics, Volume: 41, Issue: 4, Pages: 864 - 873

Swansea University Author: Simon Read

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DOI (Published version): 10.1111/opo.12836

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PurposeDescribe the development, delivery, acceptability and evaluation of a modular training programme for community-based, non-medical practitioners monitoring patients with quiescent neovascular age related macular degeneration (QnAMD). Also, report on a qualitative process evaluation conducted d...

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Published in: Ophthalmic and Physiological Optics
ISSN: 0275-5408 1475-1313
Published: Wiley 2021
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2021-09-08T13:33:54.0741344</datestamp><bib-version>v2</bib-version><id>57579</id><entry>2021-08-10</entry><title>Evaluation of training, patient and practitioner perspectives on community&#x2010;based monitoring of patients with stable age&#x2010;related macular degeneration compared to hospital&#x2010;based care: The FENETRE study report no. 1</title><swanseaauthors><author><sid>a5fdd0f9bc9dd4b6716fc42cb1ee8a30</sid><firstname>Simon</firstname><surname>Read</surname><name>Simon Read</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2021-08-10</date><deptcode>PHAC</deptcode><abstract>PurposeDescribe the development, delivery, acceptability and evaluation of a modular training programme for community-based, non-medical practitioners monitoring patients with quiescent neovascular age related macular degeneration (QnAMD). Also, report on a qualitative process evaluation conducted during the pilot phase of a randomised control trial (the FENETRE Study) exploring patient and practitioner acceptability of community-based QnAMD care relative to hospital-based care.MethodsLearning outcomes from The College of Optometrists&#x2019; Medical Retina higher qualifications and the Royal College of Ophthalmologists&#x2019; Common Clinical Competency Framework were used to develop a competency framework for QnAMD care. Training was delivered online, comprising six asynchronous lectures followed by two synchronous case-based discussion webinars, with an accredited assessment of 24 case vignettes. An anonymous evaluation survey was conducted with the first two FENETRE cohorts (n = 38). Separately, we undertook a qualitative process evaluation, sampling purposively in four hospitals and five community-based practices, interviewing nine patients and eight practitioners.ResultsSurvey responses (n = 26) showed community optometrists were very satisfied (n = 12; 46%) or satisfied (n = 14; 54%) with the training; feedback reflected by qualitative process evaluation data. Overall, optometrists also felt either confident (n = 15; 58%) or very confident (n = 8; 31%) in conducting AMD monitoring appointments following training, a finding also corroborated by interview data from optometrists participating in the initial pilot phase roll-out. Optometrists identified patient convenience and alleviating pressures in hospital care as the primary reasons for acceptability of community pathways. Data from patients entering community practices suggested they largely found this at least as safe and convenient as hospital care, although some patients randomised to hospital care perceived that as safer.ConclusionThis pilot study has shown the development and implementation of a collaborative community monitoring model is feasible, with satisfaction from community optometrists for training and accreditation, and broad acceptance for the pathway by both patients and practitioners.</abstract><type>Journal Article</type><journal>Ophthalmic and Physiological Optics</journal><volume>41</volume><journalNumber>4</journalNumber><paginationStart>864</paginationStart><paginationEnd>873</paginationEnd><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0275-5408</issnPrint><issnElectronic>1475-1313</issnElectronic><keywords>accreditation, clinicalcompetence, optometry, primary health care,secondary care, wet macular degeneration</keywords><publishedDay>1</publishedDay><publishedMonth>7</publishedMonth><publishedYear>2021</publishedYear><publishedDate>2021-07-01</publishedDate><doi>10.1111/opo.12836</doi><url/><notes/><college>COLLEGE NANME</college><department>Public Health</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PHAC</DepartmentCode><institution>Swansea University</institution><apcterm>Other</apcterm><funders>This work was supported by the National Institute for Health Research, Award ID: 17/85/05.</funders><lastEdited>2021-09-08T13:33:54.0741344</lastEdited><Created>2021-08-10T12:13:31.8795070</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>Simon</firstname><surname>Read</surname><order>1</order></author><author><firstname>John G</firstname><surname>Lawrenson</surname><order>2</order></author><author><firstname>Robert A</firstname><surname>Harper</surname><order>3</order></author><author><firstname>Thomas</firstname><surname>Hanley</surname><order>4</order></author><author><firstname>Konstantinos</firstname><surname>Balaskas</surname><order>5</order></author><author><firstname>Heather</firstname><surname>Waterman</surname><order>6</order></author></authors><documents><document><filename>57579__20783__c71245f117614802b0c03a7ead95f728.pdf</filename><originalFilename>57579.pdf</originalFilename><uploaded>2021-09-08T13:16:36.9690408</uploaded><type>Output</type><contentLength>154006</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2021 The Authors. 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spelling 2021-09-08T13:33:54.0741344 v2 57579 2021-08-10 Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1 a5fdd0f9bc9dd4b6716fc42cb1ee8a30 Simon Read Simon Read true false 2021-08-10 PHAC PurposeDescribe the development, delivery, acceptability and evaluation of a modular training programme for community-based, non-medical practitioners monitoring patients with quiescent neovascular age related macular degeneration (QnAMD). Also, report on a qualitative process evaluation conducted during the pilot phase of a randomised control trial (the FENETRE Study) exploring patient and practitioner acceptability of community-based QnAMD care relative to hospital-based care.MethodsLearning outcomes from The College of Optometrists’ Medical Retina higher qualifications and the Royal College of Ophthalmologists’ Common Clinical Competency Framework were used to develop a competency framework for QnAMD care. Training was delivered online, comprising six asynchronous lectures followed by two synchronous case-based discussion webinars, with an accredited assessment of 24 case vignettes. An anonymous evaluation survey was conducted with the first two FENETRE cohorts (n = 38). Separately, we undertook a qualitative process evaluation, sampling purposively in four hospitals and five community-based practices, interviewing nine patients and eight practitioners.ResultsSurvey responses (n = 26) showed community optometrists were very satisfied (n = 12; 46%) or satisfied (n = 14; 54%) with the training; feedback reflected by qualitative process evaluation data. Overall, optometrists also felt either confident (n = 15; 58%) or very confident (n = 8; 31%) in conducting AMD monitoring appointments following training, a finding also corroborated by interview data from optometrists participating in the initial pilot phase roll-out. Optometrists identified patient convenience and alleviating pressures in hospital care as the primary reasons for acceptability of community pathways. Data from patients entering community practices suggested they largely found this at least as safe and convenient as hospital care, although some patients randomised to hospital care perceived that as safer.ConclusionThis pilot study has shown the development and implementation of a collaborative community monitoring model is feasible, with satisfaction from community optometrists for training and accreditation, and broad acceptance for the pathway by both patients and practitioners. Journal Article Ophthalmic and Physiological Optics 41 4 864 873 Wiley 0275-5408 1475-1313 accreditation, clinicalcompetence, optometry, primary health care,secondary care, wet macular degeneration 1 7 2021 2021-07-01 10.1111/opo.12836 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University Other This work was supported by the National Institute for Health Research, Award ID: 17/85/05. 2021-09-08T13:33:54.0741344 2021-08-10T12:13:31.8795070 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Simon Read 1 John G Lawrenson 2 Robert A Harper 3 Thomas Hanley 4 Konstantinos Balaskas 5 Heather Waterman 6 57579__20783__c71245f117614802b0c03a7ead95f728.pdf 57579.pdf 2021-09-08T13:16:36.9690408 Output 154006 application/pdf Version of Record true © 2021 The Authors. This is an open access article under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/
title Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1
spellingShingle Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1
Simon Read
title_short Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1
title_full Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1
title_fullStr Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1
title_full_unstemmed Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1
title_sort Evaluation of training, patient and practitioner perspectives on community‐based monitoring of patients with stable age‐related macular degeneration compared to hospital‐based care: The FENETRE study report no. 1
author_id_str_mv a5fdd0f9bc9dd4b6716fc42cb1ee8a30
author_id_fullname_str_mv a5fdd0f9bc9dd4b6716fc42cb1ee8a30_***_Simon Read
author Simon Read
author2 Simon Read
John G Lawrenson
Robert A Harper
Thomas Hanley
Konstantinos Balaskas
Heather Waterman
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container_title Ophthalmic and Physiological Optics
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publishDate 2021
institution Swansea University
issn 0275-5408
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doi_str_mv 10.1111/opo.12836
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description PurposeDescribe the development, delivery, acceptability and evaluation of a modular training programme for community-based, non-medical practitioners monitoring patients with quiescent neovascular age related macular degeneration (QnAMD). Also, report on a qualitative process evaluation conducted during the pilot phase of a randomised control trial (the FENETRE Study) exploring patient and practitioner acceptability of community-based QnAMD care relative to hospital-based care.MethodsLearning outcomes from The College of Optometrists’ Medical Retina higher qualifications and the Royal College of Ophthalmologists’ Common Clinical Competency Framework were used to develop a competency framework for QnAMD care. Training was delivered online, comprising six asynchronous lectures followed by two synchronous case-based discussion webinars, with an accredited assessment of 24 case vignettes. An anonymous evaluation survey was conducted with the first two FENETRE cohorts (n = 38). Separately, we undertook a qualitative process evaluation, sampling purposively in four hospitals and five community-based practices, interviewing nine patients and eight practitioners.ResultsSurvey responses (n = 26) showed community optometrists were very satisfied (n = 12; 46%) or satisfied (n = 14; 54%) with the training; feedback reflected by qualitative process evaluation data. Overall, optometrists also felt either confident (n = 15; 58%) or very confident (n = 8; 31%) in conducting AMD monitoring appointments following training, a finding also corroborated by interview data from optometrists participating in the initial pilot phase roll-out. Optometrists identified patient convenience and alleviating pressures in hospital care as the primary reasons for acceptability of community pathways. Data from patients entering community practices suggested they largely found this at least as safe and convenient as hospital care, although some patients randomised to hospital care perceived that as safer.ConclusionThis pilot study has shown the development and implementation of a collaborative community monitoring model is feasible, with satisfaction from community optometrists for training and accreditation, and broad acceptance for the pathway by both patients and practitioners.
published_date 2021-07-01T04:13:26Z
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